Our Electrophysiology Program is well equipped to provide all specialized treatments to heart failure patients namely- CRT-P, CRT-D, VT ablation and AF ablation.Electrophysiological studies have been used for decades to evaluate cardiac arrhythmias and to get a basic understanding of their mechanisms. Venticular tachyarrhythmias are the commonest cause of sudden cardiac death (SCD). The patients are investigated by an EP study and, if required, provided with implantable cardioverter defibrillator (ICD) as a life saving device. We have capabilities for multi-site pacing for patients of Heart Failure and Dilated cardiomyopathy. Recently a bilateral pacing was performed for intermittent Atrial Fibrillation.
Electrophysiology Study (EPS):
An electrophysiology study (EPS) is a study that helps doctor to assess abnormal heart rhythm (arrhythmia) through electrical system.
This test is performed by inserting thin electrodes which measures heart electrical signals. These signals stimulate the heart tissue to record the cause of abnormal heart rhythm.
EPS is used to check from where abnormal heart rhythm is coming from & how well are the medicines working on to treat theses arrhythmias.
Temporary pacemaker (TP) are used in the emergency treatment of patients with severe bradyarrhythmia. They are often used in emergency situations like Heart Block and also for older patients in poor general condition who are hemodynamically unstable. It is also used when the condition is temporary and when a permanent pacemaker is not required.
There are two types of CRT Devices. Depending on your heart failure condition, a Cardiac Resynchronization
Therapy Pacemaker (CRT-P) or a Cardiac Resynchronization Therapy Defibrillator (CRT-D) may be indicated
The CRT, Cardiac Resynchronization Therapy Pacemaker (CRT-P) pacing device (also called a biventricular pacemaker) is an electronic, battery-powered device that is implanted under the skin. A cardiac permanent pacemaker is a medical device that generates electrical impulses delivered by electrodes to the heart muscle chambers (the upper, or atria and/or the lower, or ventricles) causing contraction and therefore pump blood; by doing so this device replaces and/or regulates the function of the electrical conduction system of the heart. The primary purpose of a pacemaker is to maintain an adequate heart rate, either because the heart's natural pacemaker is not fast enough, or because there is a block in the heart's electrical conduction system.
Cardiac Resynchronization Therapy Defibrillator (CRT-D). An implantable cardioverter defibrillator (ICD) is a small electronic device installed inside the chest to prevent sudden death from cardiac arrest due to life threatening abnormally fast heart rhythms (tachycardia’s & fibrillation). The ICD is capable of monitoring the heart rhythm. ICDs have a role in preventing cardiac arrest in high-risk, life-threatening ventricular arrhythmias. Modern pacemakers are externally programmable and allow a cardiologist, particularly a cardiac electrophysiologist to select the optimal pacing modes for individual patients.
The CARTO system is designed to acquire, analyze, and display electroanatomical maps of the human heart and provides real-time display of catheter position superimposed on the 3D cardiac maps constructed. The 3D maps created are reconstructions based on the sampled point data during a procedure. This is used to diagnose impaired electric conduction in heart (abnormal heart beats)
R F Ablation:
Radiofrequency ablation (RFA) is a procedure used to put the heart back into normal rhythm. During RFA, a thin wire sends heat to fix problem areas that cause abnormal heart beats. Medicines can also be used to put the heart back into normal rhythm.
It is used to help the healthcare provider see the flow of blood through the coronary arteries to check for arterial blockages and is also used in Electrophysiologic procedures to treat people with heart rhythm problems (arrhythmias).
The emergence of new diagnostic modalities has provided our clinicians with adjunctive physiologic and image-based data to help them formulate treatment strategies and they are highly experienced and pioneers in the field. Fractional flow reserve (FFR) can predict whether percutaneous intervention will benefit a patient. Intravascular ultrasonography (IVUS) and optical coherence tomography (OCT) are intracoronary imaging modalities that facilitate the anatomic visualization of the vessel lumen and characterize plaques.